Submit a Claim

Auto Claim Form
All claims reported via the Internet are processed between 8 a.m. and 10 p.m. EST.
For immediate service at any time please call.
Region Promise Line
Alberta 1-800-661-1577
Ontario 1-800-387-0462
Atlantic 1-800-561-7222
USA (snowbirds) 1-800-387-0462
Customer Information

Policy no.:
Insured’s name:
Operator’s name:

(if different from Insured’s)
Home phone no.:
Business phone no.:
Cell phone no.:
Vehicle Information

Claim Details

Date of loss:
Damage type:
Vehicle damage:
(specify location of damage on vehicle)
How loss occurred:
Bodily injuries:
Injury description:
(specify who was injured and nature of injuries)
Once submitted, your claim will be sent to a claims representative and you will be contacted as soon as possible.